HomeMy WebLinkAboutWTR2701991 W 827 Burger King `� -' "'_: ,' '`. : 1 1� 1
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,? urger King
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EDWARD E. PARKS
I
E AND R RESTAURANTS.INC Iy0fi1 211-1 61B
P O dOx 2668 rm N61336
PENTON WASMING{ON 4405E
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A Y4R"IY D rd a COND(I1 UR
mom NIUIBII TO Afttrsa FMM■1
waawrwaTO"TffLs Olvrarnw
Filed for Record at Ragtstat of
Oct 31 4 2 �►� '�
fiYTHE. �
N o-
TO •errs
FIE Jd RUC A!t W923l 2
IT 6i10/31 01883 P
car NW sal ma!
—�mON�t-� — RECD F S.U1
W OU RWL St fASHSL ****S.00
tam,WA WA11
r�.. � aaa
BILL OF SALE
Q!) [NOW ALL MEN BY THESE PRESENTS: That Santa Properties and Development
er't ad Issaquah
MCanty of King State of Washington, the pan of the fief part.
0 for and in consideration of the auto of r
One and no/100------------------------------- DoUmrs
QDlawful money of the United Stun of America, to them in hared paid by the city of Renton
the pan Y/i W the stcosd part, the receipt whereof is hereby acknowledged, r o (e s Wy these praenu grant.
largain, all mid deliver unto the acid pary/ieal the as000d part, the following dncn'bed peraoeal propene.. now
bated at 3rd and Sunset
in the City of Renton County at King and State of WadAngton, to-wit:
web-
Approximately 31,0 l. f. of 8" Ductile Iron pipe , and 1 (one) complete of
Fire Hydrant Assemblies , and 2 (two) assemblies of Gate Valves , and all
appurtenances pertaining to said watermain, expressly warranting said
watermain against any expenses , costs or liens hereto incurred thereon
by, through or under seller herein.
TO RAVE AND TO HOLD the same to the sold party/i%$ the aetomd F=rt. its/theirbsirs eatscotors.
administrators and assigns forever. And said part y/jd3he liras part, for its, their heirs
etacutors, administrators, covenants and agrees to and with the air partY/iW the moamd Qart,its/their
executors, administrators and assigns, that aid part/ie& the first pan is the owner(s� of the rid
property, goods and chums and has/hjykf�rigbt and tun wehority to sell the aatoe, and that it/their
will warrant and defend the ale bersby made unto the said part: /i tip the ascend pan, its/their
asecuwm administrator and ani`ns, against all and every peso. or persons, whomuoever, lawfully twisting of to
claim the same,
Dd WITNESS WHEREOF,The said party/iwtbe fire pan bas/hi;ygunto art its/their band
mad awl this --- day of
by Mirk Santa ( AL)
(aaat)
STATE OF WASMNGTON,
lr.
Casty of )
A dds dq poria=Uy appeased before as Mick Santa d/h/a Santa Praporr i as Developmer
to an ham to be the Whidual dwerfind to and who named the witWo and foregaimg lostruewnt and
aa3aomteiseI &at he dyad the saris as his free said voluntary act and deed. for the
tun amd prispa n ttwreln awriomed.
GrM radar my bud sad official awl tW 9th day al January, 1986
ram[tic send)ar t4 Stale ofWeslimtam,
VW44z.;�_ �y&4�nl
UTILITIES pl
EA /dayof
S E M E N T
THIS INSTRUMENT, made this / (y .
by and between s"QA.T/� O/4�P � Qti/tirrpnrT and
and
;
and
and
;
hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King
County, Washington, hereinafter called "Grantee".
V4 WITNESSETH:
QD
That said Grantor(s) , for and in consideration of the sum of
rl paid by Grantee, and otner valuable consideration, do by
these presents, grant, bargain, sell , convey, and warrant unto the said Grantee, Its
p successors and assigns, an easement for public utilities (including water and sewer) with
ri necessary appurtenances over, through, across and upon the following described property
in King County, Washington, more particularly described as follows:
@6 10�31 M1671 0
RECO F 6.00
CRSHSL ****6.00
11
A PORTION OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 17,
TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M., KING COUNTY, WASHINGTON, DESCRIBED AS
FOLLOWS:
COMMENCING AT A CENTERLINE MONUMENT AS ESTABLISHED BY STATE ROUTE 900, (JCT.
STATE ROUTE 169 TO JCT. STATE ROUTE 405) K-LINE (NORTH THIRD STREET) POINT OF
TANGENCY, ENGINEER'S EQUATION STATION 11+79.55 BACK - 11+79.6 AHEAD; THENCE
SOUTH 67016'45" EAST ALONG SAID K-LINE (NORTH THIRD STREET) CENTERLINE 13.05
FEET TO A POINT 20 FEET EASTERLY OF (MEASURED AT RIGHT ANGLES TO) THE
CENTERLINE OF THE PACIFIC COAST RAILROAD COMPANY. RIGHT OF WAY; THENCE NORTH
22046'46" EAST PARALLEL WITH SAID RAILROAD RIGHT OF WAY CENTERLINE TO A POINT
50 FEET NORTHERLY OF (MEASURED AT RIGHT ANGLES TO) THE CENTERLINE OF SAID STATE
ROUTE 900. K-LINE (NORTH THIRD STREET); THENCE CONTINUING NORTH 22046'46" EAST
PARALLEL WITH SAID RAILROAD RIGHT OF WAY CENTERLINE, 300.00 FEET; THEN': SOUTH
67016'45" EAST PARALLEL WITH SAID STATE ROUTE 900, K-LINE (NORTH THIRD STREET)
91.16 FEET TO A POINT 65 FEET WESTERLY OF (MEASURED AT RIGHT ANGLES TO) THE
CENTERLINE OF STATE ROUTE 900 (JCT. STATE ROUTE 169 TO JCT. STATE ROUTE 405)
AND SAID POINT BEING THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID
LINE SOUTH 67016'45" EAST, 5.03 FEET TO A POINT OF INTERSECTION WITH A LINE
BEING 60 FEET WESTERLY OF (MEASURED AT RIGHT ANGLES TO) THE CENTERLINE OF SAID
STATE ROUTE 900; THENCE ALONG A LINE BEING PARALLEL WITH THE CENTERLINE OF
SAID STATE ROUTE 900 SOUTH 16022'51" WEST, 169.61 FEET; THENCE SOUTH 22047121"
WEST, 111.45 FEET TO A POINT OF CURV71 HAVING A RADIUS OF 20.00 FEET WITH THE
RADIAL CENTER BEARING NORTH 67012'39" WEST; THENCE SOUTHWESTERLY ALONG SAID
CURVE THROUGH A CENTRAL ANGLE OF 74055'17" AN ARC DISTANCE OF 26.16 FEET TO A
POINT OF INTERSECTION WITH A LINE THAT IS 5.00 FEET WESTERLY OF AS MEASURED AT
RIGHT ANGLES TO THE CENTERLINE OF AN EXISTING STORM DRAIN PIPE; THENCE ALONG A
LINE PARALLEL WITH SAID PIPE NORTH 26056'06" EAST, 132.66 FEET TO A POINT OF
• INTERSECTION WITH A LINE BEING 65.00 FEET WESTERLY AS MEASURED AT RIGHT ANGLES
TO THE CENTERLINE OF SAID STATE ROUTE 900: THENCE FROM SAID INTERSECTION ALONG
SAID PARALLEL LINE NORTH 16022'51" EAST, 168.04 FEET TO THE TRUE POINT OF
BEGINNING.
EXCISE TAX NOT RLC _
FIEB FOR KIND AT 4iiw 7 ff
OFf1EE N v O cn UE M I-I
AENTON II e
2%NOI AYE SO. -��
III Mi ,WA 1BO55
J
Said heretofore mentioned grantee, its successors or assigns, shall
have the right, without prior notice or proceeding at law, at such titres as
may be necessary to enter upon said above described property for the purpose
of constructing, maintaining, repairing, altering or reconstructing said
utility, or making any connections therewith, without incurring any legal
obligations or liability therefore, provided, that such construction, main-
taining, repairing, altering or reconstruction of such utility shall be
accomplished in such a manner that the private improvements existing in the right
right(s)-of-way shall not be disturbed or damaged, or in the event they are
" disturbed or damaged, they will be replaced in as good a condition as they were
r% immediately before the property was entered upon by the Grantee.
The Grantor shall fully use and enjoy the aforedescribed premises .
M including the right to retain the right to use the surface of said right-of-way
H if such use does not interfere with installation and maintenance of the utility
co line. However, the grantor shall not erect buildings or structures over, under
OD or across the right-of-way during the existence of such utility.
This easement, shall be a covenant running with the land and shall be bind-
ing on the Grantor, his successors , heirs and assigns. Grantors covenant that
they are the lawful owners of the above properties and that they have a good and
lawful right to execute this agreement. G�Z�
and
and
and
CORPORATE FORM:
' v
� Y•
STATE 9F , 55 `-
COUNTY OF ) Sr
zr
On this day o 191Y,r before me, the undersigned,
a Notary Public in and for the Cate o-- —T duly comniissioned and sworn
personally appeared NOc c G S.4N'T.I an
to nke known tq be the - and respectively,
Q o a rA cPCKT.c i a -�c ►[Y� w ,yW corporation that executed the fore-
goin instrument, an ac now elide the said (nstrumjit to be the free and voluntary
act and deed of said corporation, for the uses and purposes therein mentioned, and
on oath stated that authorized to execute the said instrument and that
the seal affixed is t e corporate seal of said corporation.
WITNESS my hard and official seal hereto affixed the day and year in this
certificate above written.
_ u/ e n an for t o e e
�
Jotar residing at
uENI-2b
/� _., COST DATA AND INVENTORY
SUBJECT: CITY PROJECT NUMBERS: W-
NA OJ
TO: CITY OF RENTON FROM:
UTILITIES DIVISION
200 MILL AVE, SO. ) �J ),Q ��� ('rfl." ,glVVO23(
RENTON WA 98055
E-SSAQ UAH LA1 N f oa
DATE: I —
Per yore- request, the following information is furnished concerning costs for improve-
ments installed for the above referenced project,
WATER SYSTEM:
Length Size Type
3Yv L.F. OF _ `"fir„ 7iLe WATERMAIN
L.F. OF _ WATERMAIN
L.F. OF WATERMAIN
L.F. OF WATERMAIN
EACH OF _"—" GATE VALVES
EACH OF GATE VALVES
EACH OF GATE VALVES
Size Type SUBTOTAL $_—ja0 ev o 0
EACH OF n FIRE HYDRANT ASSEMBLIES
(COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY),
TOTAL COST FOR WATER SYSTEM $ Z 3 7 ea
SANITARY SEWER SYSTEM
Length Size Type
L.F. OF r P " P P C SEWER MAIN
L.F. OF SEWER MAIN
L.F. OF SEWER MAIN
DIAWWETLR MANHOLES
TOTAL COST FOR SANITARY SEWER SYSTEM $
STORM DRAINAGE SYSTEM:
Length Size Type
L.F, OF _ STORM LINE
: .F, OF STORM LINE
L,F. OF ��'" STORM r.INE
L,F. OF STORM LINE
10TAL COST FOR STORM DRAINAGE SYSTEM $
STREET INPROVEMENTS: ( Including Curb. Gutter, Sidewalk)
TOTAL COST FOR STREET IMPROVEMENTS $
N UR --`-
(SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
Wg2?
Rt DING A ZONING DEPARTh NT
PRE-OCCUPANCY INSPECTION REPORT �T
DATE V oil ?
TO: DESIGN ENGINEERING DIVISION BUILDING FINAL
UTILITY ENGINEERING DIVISION FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION LANDSCAPE/PARKING
FROM: BUILDING 6 ZONING DEPARTMENT
SUBJECT: Ulgt!( ^y PERMIT NO, 1B t\546
TYPE BUSINESS �c��a..ca,J✓
The subject project Is nearing completion. Please Investigate your area of responslblilly and Indicate
below either your acceptance or corrections necessary by In order that a
Certificate of Occupancy may be Issued, I .%o comments are received by the above date, the
Certificate will be Issued.
TO: BU"^,.`_DING 6 ZON04G DEPARTMENT DATE I11\1 16
FROM. he00I, Qtnput _ 'AN- )vrl a 111ayl Frilt qCI
This project Is approved by this department subject to the following corrections:
n
��11�L� tri LL p
4_ _ il��oti 'hAlan!- ay `h6thtn,► �ntr et Ott\�.I" R�' Na.a QOrt In ,{w4.. Shet)
�. y.
441k all dslit Wf' it, 41ntsh 1 p#ok 4L LnAacoo�^ti MtN%kA Vakk)
a
a ee'�ak ndiVl} ail �nanhdr (44tys tiu -iTan t ta%kW Cat} iron Cam, ek 6w
�fer 'rV& Jew fenrucht., io 411W_ -ktnp.
+ �le�1u+ 6i(�wslk NE mtnof 6� etaiceN - J�awcwl a �a'k�, atPhall aicro�
t,r.�b al- 7realy,ratV
a
+_Qn�e ftsSth^�, ch N S' YY cSleca irtw ,nafitVm�a;� woa �,,t,,Q,f�d.
cc no VA iiii
a_Lu�m,k oS 7u�`4 u end l�r tlatt 'Scuk., t\a�r, 6 "I w CoCY c�Q1n- I^Jt^IDI�, +{�ncV
1e kwUa �64 . tv.
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
YES [5aNO If H111,1 Y G SE Grnry II kar'
np pc,Nr is
Cu"?"�r .
�r( (e�mp,t�x••M1Nn a� aioflt .ICnM oel
0_ 1 Author ed Signalure
/ETlttbd .
dtuQ�
rohM 4 17n
WN 227
"JILDING i ZONING DEPART BENT
PRE-OCCUPANCY INSPECTION REPORT
DATE DECEMBER 17, 1985
TO: DESIGN ENGINEER!'4G DIVISION BUILDING FINAL
RILITILITY ENGINEERING DIVISION FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING
FROM: BUILDING & ZONING DEPARTMENT
SUBJECT: BURGER KING PERMIT NO. B-11560
311 SUNSET BLVD. N TYPE BUSINESS RESTAURANT
The subject project Is nearing completion. Please Investigate your area of responsibility and Indicate
below either your acceptance or corrections necessary by DECEMBER 24, 1985 in order that a
CeAlfkate of Occupancy may be Issued. I no comments are received by the above date, the
Certificate will be lasu"
TO: BUILDING & ZONING DEPARTMENT
1 DATE j` 211 I aS
FROM: Al 16d 6Aw- UPfnrm t II�Urw� mg-
Thus project Is approved by this department subject to the following corrections:
fi �� �+*� �iahen lcyelrenT air Southend' lergt/ 01 a,k Ic ,}.icz SonKt BIdA N
'fie.ah Harr main 1e ei1417ti b*ktyAi* air mvrhrmr rbrnlw cS sits
e
kAN\ Jl .aen t�snn awr bnxm a► �wjGs� Vww% -
�, Qa+t porlIAn� gar Ixr a roe kna> s rcn�na 60loen S;Aswafh Ar
tuak,mcah towz maA hacweJ Am-" 1m4tcyl it"'
k /j ,> %V -a� Aab isdornbn, d�erb� < b•U d g�
1//e•• �l?Cs�ow V.1,i�s, fn4r. .v.sk .
ll dY�£_4�r Yc •;e��„nrc�ic+� .,r�sn e_Q�r,��.bty�. 4i+�cti.w, n+e �arli _
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
aYES I VINO
�j Authorized S'3nature
i�
") FORM 4 170
1—
JILDING • ZONING DEPAR r AENT W
PRE-OCCUPANCY INSPECTION REPORT
DATE DECF14BER 17, 1985
TO: Ltj DESIGN ENGINEERING DIVISION BUILDING FINAL
UTILITY ENGINEERING DIVISION' FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING
FROM: BUILDING & ZONING DEPARTMENT
SUBJECT: BURGER KING PERMIT NO. B-11560
311 SUNSET BLVD. N TYPE BUSINESS RESTAURANT
The subject project is nearing completion. Please Investigate your area of responsibility and Indicate
below either your acceptance or corrections necessary by DECEMBER za, 1985 In order that a
Certlflaate of Occupancy msy be issued. C no comments are received by the above date, the
Certificate will be Issued.
TO: BULDING 6 YONING DEPARTMENT DATE 12/14 /d5
FROM: lid Anw,
This project Is apprswed by this department subject to the following corrections:
� � aeF e,c���ranr air Saukhealr tllrry/ vl e,��.�er Suaxl" 81•al N
.ic _Tie-An MW M&I h C161404 tunh>!R,ik a4 morNumr Miser
-k \MN\alb 041* _Won &A awr boxm (Jr yWkjioa Vwm .
t, va"It O&AhA� IV Zf aprroJ rom f rCCW1 bQkfvl y�Acwatk nr
wtwhu n�—{ 1>t1�o�l n�Iyrotcd hack doati• i� n.r
- ,,ymAk - a% "tk- Amgwjv4s, eg_ da6 tx ortD4 b ._ 6A
b j,_Nr _
(AAYe -'ONpectrA _ IAVVn Y A6M thtettk rv, wt ode
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
❑YES NO
Authorized Authorized Signature
rokm 4 170
- -b+ t( w N -it, N,3- ty
r �4
Nor
Si
L -
II 4*
to (�
_
IKHe rifTs RReq—--
t STATE OF WASHINGTON
\ DEPARTMENT OF SOCIAL AND HEALIN MVN=
WATER BACTERIOLOGICAL ANALYSIS
iUX!ONS DN FLICK OF OOLDENAiiD COPY
It inztructions are not followed,sample will be rejected.
DATE COLLECTED TI COLLECTED COUNTY NAME
MONTH UAY VEAp : 4" �,��
12 Il A5 � o, I
TYPE OF SYSTEM IF PU3UC SYSTEM.COMPLETE
li PUBLIC 'T $ 5 0 A 4
I.D. No. /
❑ INDIVIDUAL � 2 3 4
NAME OF SYSTEM
!� �?TN k r n• UI}P• tv
SPECRIC LOCATION WHERE SAMPLE C011EC1E SYSTFM FN IWR NAME AND TELERgNE NO
�»utcnm iw�3`. ....�,,
w. a2y 1�" ktr7 ARLcNE 1ln, „T
a�1N�ar1A� 44170
- ( ) 235- 2631
SAMPLE COLLECTED BY:(,,
i
Alil 6vto09 _ lkl,LAII lwon'sa
I SOURCE TYPE
❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED XCOMBINATION
a OTHER
D REPORT T INIru Fua m.Na ,Acid
1 O raas aM 2ip Cahl
!1E �F Hr�H • kI',Illl `( iaAR nEYT
Ref)V#t WASHINGTON ni
TYPE OF SAMPLE
(LMry mh are ni mm ccWmn�
I. ❑ DRINKING WATER ❑ Chlorinated(Residual_TotH_Freel
check treatment--p- ❑ Filtered
❑ Untreated or Cline,
2. RAW SOURCE WATER
3. NEW CONSTRUCTION or MIAIMAS
d- OTHER(Specily;__ _
COMPLETE IF THIS SAMPLE; A CHECK SAMPLE
MEVIOI d(AR NO
PREVIUUS SAMPLE COLLECTION DATE
REMARKS:
LABORATORY RESULTS(FOR LAB USE ONLY)
M7, BECAUSE
-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
1 5iue.,oo.� _ ✓ml
MPN DILUTION» TEST UNSUITABLE ❑ s xnple Tao Old
/"W mI ,. ❑ ConIIwnt Growth ❑ Not m Proper Conlalner
ME COLIFORM
Q. ❑ TNTC ❑ InsProulted— loaseneed
Proud tlo.s on
Reatl
'--- Inatructbne on Farm
FECAL COLIFOR . 3. ❑ Excess Debrts
MPN ❑ MF 4. ❑ ❑
/it W 1
ONLY,FOR D"INO WATER SAMPLES O ,THESE RESULTS ARE.
SATISFACTORY ❑ UNSATISFACTORY
SEE REVERSE SIDE OF GREEN'JOPY FOR E:<PLANAIION OF RESULTS
LAB NO. M Rt OENEo— i?ECEIVED BY
A!
DATE REPORTED -- t LABORATORY'
REMARKS
A_M tiC s ! N6 j
WATER SUPPLIER COPY !a
CITY OF RENTON MATERIALS ISSUED S.o.N..
WATERWORKS UTILITY W.O. No.
TO STOREKEEPER: owti /2
0divo M.blbri.p�nwNriwl fe
OUANT UNIT ACCOUNT MATERIAL UNIT AMOUNT
DELIVERED NUMBER COST
1
l-
i
A►ar•i %'.l rRnivN in BsN-rAli-m I AbwR rpriElNen 011w�►T� ' I Abww wyNr{.l"wN by
YSpy Sig,.d flpwd_ ,
CITY OF RENTON MATERIALS ISSUED S.o.NR
WATERWORKS UTILITY w.O. No.
_ f
TO STOREKEEPER: Dole +-IO
Ddrvo M�blbwirq�wwMriwl b
OUANI. ACCOUNT MATERIAL UNIT AMOUNT
of EWE UNIT NUTABEB LOST
777
1
t
I
Abww wBNnwl rwwivN iw BMB pNiliww I A IN by A N y
Sh"d vr" Si"d
CITY OF RENTON WATER DEPARTMENT
v Pressure Test b Purification Test Form
1
PROJECT NO.`ti 0,�� Mok 04k o 4699
&NAME OF PROJECT: V6fA w1mc 14 S4 S SUnser -gm � 8
PRESSURE TEST TAKEN BY A%'beUL. 6KOU(L ON 171ml 65
AT A PRESSURE OF 2 5O PSI , FOR to MINUTES
TEST ACCEPTED ON 1t ib 9rY -2 VP ICE' - -Tar 04
PURIFICATION TEST TAKEN BY Abk A 6 he y- ON 12./111t5
PLI-dFICATION TEST RESULTS, SAMPLE 01 fiew Aptly d S% 16 t7]f Vi u �"
SAMPLE k2
SAMPLE k3
PRESSURE COMPLETE AND PURITY COMPLETE Q
No connections to mains or meter permits issued until above box is
checked by Inspector. y
REMARKS: lie it tb tl'llh% t6 Co' kids Qq'.i` CA !.A tget ,t!f
IIVI h alw2 10 {eov p 7 l; la Cn _ .
tX � w &A; tk U, ;Y�rH cr
.., E.....a M.........R...... _
STATE OF WMW$G ON /- .
OVARUWET OF SOCIAL MID MALIN S61YICESO
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION. READ INSTRUCTIONS ON BACK OF GOLDENROC :OPY
If Iminctlar we nol followed,Eemp;e will be relecteu.
DATE COLLECTED TIME COLLECTED COUNTY NAME
MONTH CIA YEAR Q 419
IZ tl B AM ❑ PM Klan
TYPE OF SYSTEM I IF PUBLIC SYSTEM,COMPLETE:
ga,PUBLIC 7 i 8 5 o L IE CLASS f
I
❑.NDIVIDUAL �2 3 /
a
NAME OF SYSTEM
� C,t 'RQfL{Tnl_ Wn�en. 'EVT i
! SPECIFIC LOCATION WHERE SAMRE COLLECTED SYSTEM OWMEFVMGR.MME AND TELERDNE NO
tlt.a2� u(r �� Antism k(ai16itT
atw"iAu& @ slip, 4477f ) 7 59- 263t_
SAMPLE COLLECTED' BY:PMRq
A6DOUl, (�ftitz _ (ft'Lii� �*UPf eTEYt .
SOURCE TYPE
❑ SURFACE ❑WELL ❑ SG ❑ PURCHASED Wm OTHER OMBTION
SPRING
SEND REPORT Tq,ZP FNI A 7 AeemA ens 2IP COAaI _—
CLT1 OG KExibN - G�ltliy EK6R DEIT
Zoo- NLLt, {1JE. So. (ANA flfla Ai6fT
tZcntwl • wA$NINDTON 055
TYPE OF SAMPLE
1. ❑ DRINKINGWATER ❑ CRNRirutetl l�eeldwl:_To41_Free!
check treatment--S• ❑ Filtered
❑ Untreated or Other
2. RAW SOURCE WATER
3. NEW:ONSTRUCTION a WAMARS
/. OTHER(SPOCIIV)
COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE
PRFVIOUS 1 All 40
PREVIOUS SAMPLE COLLECTION DATE
REMARKS
$VI cf WA!t a AI. 3^' , S;uy* '
LABORATORY RESULTS IFoR LAB wt ONLY)
MPN COLIFORM STD PLATE COUNT I SAMPLE NOT TESTED
/" BECAUSE
MPN DILI ITION TEST UNSUITABLE ❑ SWnPle Too OW
f 00.d 1. ❑ Conflwnl GwW In ❑ Not in PmP r Ct tah w
MF COLIFORM
2. ❑ TNiC l] Insulted- leaso Rflun
ead
APO TI Provided-Pleas Read A
FECAL COLIFOR
3. ❑ Excess Deals nalnwtwm on Farm
❑ MPN ❑ MF / ❑ ❑Dom
FOR DRINKING WATER SAMPLES ONLY.THESE RESULTS ARE.
0 SATISFACTORY a UNSATISFACTORY
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO. DATE,TIME RECEIVED- RECEIVED BY
DATE REPORTED .ABORATORY
1 Al�rWc TrcTr►fr f An flTN-
TY OF RENTON WATER DEPARTMENT
1, SS Pressure Test b Purification Test Form
PROJECT NO. ��
NAME OF PROJECT:
PRESSURE TEST TAKEN BY ON t2
AT A PRESSURE OF 51.' PSI , FOR MINUTES
TEST ACCEPTED ONj1./irjP,1 .2 `s fir v.
PURIFICATION TEST TAKEN BY ON i7_/1%/ I
PL FICATION TEST RESULTS, SAMPLE AI 1,. t'71" �•� ',�n;p} elvi sl i
SAMPLE A2
SAMPLE k3
PRESSURE COMPLETE AND PURITY COMPLETE Q
No connections to r.. ins or meter Permits issued until above box is
checked by Inspector.
.
REMARKS: IIN . ,r li. {tiSlw,a t rn n
f 1 ryn,• 1J�J'� `/ j� IS
,
tw.x, I I nI.Irra.
•M O it Mmrr ar..ry„rn....,1... 0.r.•.rr, n1I.)nk I.]4.
DSHS 1117301181,
STATE Of WASHINGTON
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WATER BACTERIOLOGICAL ANALYSIS
4ALq'l r -'II I F r'.Intt! Rl AU '11cIRIH:lu)NS rill RACK OF fAl ORlRUII P,OPY
11 ipsmKti,m,are mi followed,sample Will be rejected.
7DATE COLLECTED TIME COLLECTED COUNTY NAME
DAY YEAR G 4l t
M o PM SYSTEM IF PUBLIC SYSTEM.COMPLETELcI.D. No. G 2 3 4
DIVIDUAL.�n r r,.er�..H
NAME OF SYSTEM
�� 1�11 _�enFL•A- Uhit4 �FP(
SPi fRIC LOCA'ION WHERE kMPIA COLLECTE SKTEM ONFIERIMGR NAM[AND IEIERONE ND
I(Mn ly tl Mr: �IrwnIMM
iN':'��• �L;y/HKLrv� ARLCN� IAi611T
1-
1!'1 11 Asmv la �&N h it 71'` �_ � 2'2•i Z4 I
SAMPLE COLLECTED By INamel
nf,-zieiAL, t;nfD�R _ 111.Efj IN=�fF:R'n
SOURCE TYPE
COMBINATION
❑ SURFACE ❑ WELL SPRING ❑ PURCHASED ;(COMBINATION
OTHER
SEND REPORT Tq�IPrml EWI Name.Address am nP CMe1
R CG K�oT.N . �ill/14 ER=f. . t7 E.1T
Zco- /ids . �, . IAPn flllrn HAIGdT}
R(IIITn wASHINGTON L�
TYPE OF SAMPLE
MM/,n•i,—1..If"r'Murr'nl
1. 0 DRINKING WATER
❑ Chlorinated(Residual—Total—.Free)
check treatment--)' ❑ Filtered
❑ Untreated or Other
2. RAW SOURCE WATER
3. NEW NEW CONSTRUCTION or NM EPRS '
4. OTHER ISpecityl__ _
COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE
PRF YIOHS I AR NO.
PREVIOUS SAMPLE COLLECTION DATE _.
REMARKS'. CIA
�c1 I�kAn. la IS. y- Sixl►d' P,lul rs .
LABORATORY RESULTS"LAS USE ONE YI
MPH COLIFORM STD PLATE COUNT SAMPLE NOY TESTED
�5 wr.:M,.r.. �mI
MVN DILUTION r TEST UNSUITABLE ❑ Sample Too Old
A�'^I 1. ❑ Conlluenl Growth ❑ Not of Proper Container
ME COLIFORM 2 TNTC Insufficient Inlormallon
Provided—Please Read
/tDo mI Instructions on Form
FECAL COL,Fon 3. O Excess Debris
❑ MPN ❑ MF 4
FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE:
SATISFACTORY ❑ UNSATISFACTORY
$(C RSVP TSE SIDE OF Grit.Eh'COPY FOR EXPLANATION OF RESULTS
E BY
LAB NO. DATE.TIME RECEIVED—
DATE REPORTED LABORATORY
1 Allf IM TF,:7111lf; 1 AR Wr
HARRON 6 LARSON
FROFESSICNXXIS RVEVORS s EN6INEFRS
P.O.BOX 1551
TXCOM4.WA 9 01
206 874-4117
October 30, 1985
Job #100-037-0665
Mick Santa
1420 N.W. Gillaman Blvd. ,
Issaquah, WA 96027
Reference: 311 Sunset Blvd. BURGER KING RESTAURANT
Revised Easement for Storm and Water
Dear Mr. Santa:
The City of Renton has requested additional easements for the existing storm
sewer and proposed water main along Sunset Blvd. The attached documents
describes these easements and is very similar to the easement prepared by
this office and executed by you last mooch.
We would request that you review this dacument to see if it meets with your
approval . If so, we would request that you return it to this office so that
we can deliver it to the City.
If you have any questions concerning this matter, please do not hesitate to
contact this office.
Sincerely,
Brian G. Harron, P.E.
cc: Ed Parks
Tom Germann
t�( is/ e5
DATE
CITY OF RENTON
UTILITY ENGINEERING
200 MILL AVENUE SOUTH
RENTON WA 98055
ATTENTION: ARLENE HAIGHT
SUBJECT: 2 }
PROJECT NUMBER: W- / _ WORK ORDER NO. : L16 �0
Dear Ms. Haight:
You are hereby authorized to have the Finance Department bill: U�
Name: lyf,41'0 1 60 . /J
Address: /10 ye R^ .7 sc rAf tT
City: /1Ed7- klIrR. 9h'03 /
Attention: 134Kcf 4 , 6rZe4 /) Phone: gs y-7337
for time and material for the related water work on the above referenced
project. The work is described as follows:
7" TAP /G B £ t/iA7-st MK/�
A// /4 .3 5 i 9- Su e!3 FT L4[(/!1
Very truly yours,
NAME
PRECONSTRUCTION CONFERENCE
PROJECT: W- O A / DATE:
ADDRESS/LOCATION: v' l .
PROJECT A� PERMIT # WORK ORDER b
THOSE IN ATTENDANCE
NAME p p COMPANY PHONE
�dow� ( {e44 (lit
'' ` , �n+rw�w. 23S Z63
-5rz,ati h Ajereo,j Akk(Zou 'CLRsoti �&mg?e Lf-) SR74- 4/I
r
CXS;Al (k rvu L4?7Ll7y 23s xost
�Rur_F L . Gout/I - /'E�TaN fONST. Co. /�✓C _ 6SV- 73S7
���4--!>`? 1. v✓l�.cC,C iSoo� �••.•ci-ls•�� �wia l'�/.�tl�i)� �3.x• al ��{/
ACiL-MAJ OL.IC'E LEQT z3 S—.Z 5-/4/
lowt Ge�rnann &ic%e Ki_r
� / s•>
« «7.tt fsliGLvLG f8f t
C�& of woo -- 6(al✓ �SJ-d55`j
Lc! 13F_I L g7-2-.1
PRECONSTRUCTION CONFERENCE
PROJECT: _ lam/ - p ,A7 DATE:
ADDRESS/LOCATION: 4J
PROJECT 0
PERMIT d WORK ORDER
•�*r*,�,try*r�*+t*,t***��*,t**r***xA**�****►�,t,t**r*�,t*+e�,t,t�****a*��,t*A****,txA**��**�*�*�*r
THOSE IN ATTENDANCE
NAME COMPANY
PHONE
lt�i{i�lu,_�n„e Z>S
1C31
�rclaw� Ae-( oo .1 AQrcou
— RS°�-,��-� �, � �37�• 41f7
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PUBLIC WORKS DEPARTMENT
C'A' BUILDING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED PERMIT NUMBER
Owner �, Location of Work
i
Address
l
(
f
j INSPECTIONS FEES
CONSTRUCTION Side sewer
_ Storm Sewer _ .
PERMIT Right-of-Way Constriction
Sp. Utility Conn. Fee - Water
Water Latecomer Fees
(Public Right-of-Way) water Insp./Approval Fees
Sp. Utility Conn. Fees - Sewer
Sewer Latecomer Fees
Sewer Insp./Approval Fees
Date Issued Inspection. Fees
Special Deposit - CASH BOND
Expiration Date TOTAL FEE
� Description of work
and Number of Feet
f
i
Contractor IBusiness
!.•
License ;<
Address Bond --
Telephone
IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE. OR INJURY ARISING FROM THE PFRrORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL 235-2631 FOR INSPECTION.
Call between 8 AM and 9 AM for APPLICANT
inspection in afternoon; :all
before 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY
48-HOUR LOCATORS
and lighting. 1-800-424-5555
• � wo u1y III cci mg uepol unerlt
235-2631
PRECONSTRUCTION CONFERENCE
DATE: October 15, 1985
TIME: 10:00 AM
"LACE: City Hall 4th Floor Conference Room
DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT
Name: Renton Construction Burger King
Phone: Bruce Gould 854-7387 Tom Germann 24I-4545
Project: Burger King
Location: or[ Jr in unse v .
• co ner
Proj, ii: W-827
NAME OF APPOINTED INSPECTOR
Abdoul Gafour
Please check departments to be notified and specify person to attend.
Design/Utility Eng. ✓
Y Fire Dept,
X Police Dept.
x Street Dept.
x Traffic Dept.
x Sewer Maintenance
x Water Shop
Park Dept.
Building Dept.
Other ---
Outside Depts. —
x Department of Transportation
x Pacific N.W. Bell Company
x Puget Sound Power d Light Company
x Group W Cable TV Company
x Washington Natural Gas Company
x Other Metro-Bus Routes
- --
TO DATE
SCHEDULING AND NOTIFICATION
REQUEST FOR PRE-CONSTRUCTION CONFERENCE gY,
NAME OF PROJECT: l2CL.�
INSTALLATION: 4CJ
LOCATION:
1 . Set Date �t a ,tr4.�l and Time 1,4 '``—'fa, ,l
2. Call Harriet in Mayor's office to book Confer nce Room floor
3. Notify Appointed Inspector
4. Notify Contractor/Developer eb 4 _ pp Cs,c//.lu«<'ee� b'Sf_ �3P9
IvM C-,�(ZiK A"id __B jro6,'2 KiKyd. zq) -454
5. Fill out attached form, make appropriate number of copies, and route to City
personnel rp for to meeting date. Notify the following City Departments:
Lit Design Engineering
Fire Department
Police Department
Street Department
Traffic Department
Utilities Department
Water Shop
Sanitary fewer/Field
Other !^
6. Telephone the following outside companies:
Phone Number
✓ Department of Transportation 453-6424
Pacific u.;4 Bell Company 235-3012 (Frank Forrest)
Puget Sound P wer 8 Light Company 255-2464 x 4223 (Juan)
Seattle City Light 625-3076 (Dennis Ouvries)
Group W Cable TV 433-6356 (Frank Adams)
V Washington Natural Gas Company 622-6767 x 249
Metro-Bus Routes 447-6859 (Mr. O'Brien or Mr. Nelson)
King County Inspection 244-0770
Other
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FILE TITLE
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